switzerland - World Health Organization
Transcription
switzerland - World Health Organization
Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Iodine Deficiency The database on iodine deficiency includes data by country on goitre prevalence and/or urinary iodine concentration Last Updated: 2007-05-23 SWITZERLAND Urinary iodine (µg/L) Goitre prevalence (%) Level Date L 2005P N 2004 L N L L L S 1999P 1999 1997 -1998 1997 1995 1994 Region and sample descriptor Sex Age (years) Sample size Grade 1 Grade 2 Distribution (%) TGP <20 20-49 50-99 100-299 >300 Jona: SAC B 6.00 - 12.99 534 1.0 National: SAC B F 6.00 - 12.99 NS 386 279 4.0 National: PW Bern and Ticino cantons: All: Total B All by canton: Bern B All by canton: Ticino B All by location: Bern city B All by location: Blenio Valley B All by location: Chiasso city B All by location: Emmental region B All by location: Maggia Valley B All by location: Verzasca Valley B NS NS NS NS NS NS NS NS NS 167 67 100 34 27 28 33 28 17 National: SAC: Total B National: PW F SAC by sex F SAC by sex M SAC by age B SAC by age B 6.00 - 12.99 NS 6.00 - 12.99 6.00 - 12.99 6.00 - 9.99 10.00 - 12.99 600 511 296 304 289 308 Engadine Valley and Lake Zürich area: SAC: Total B SAC by location: Engadine Valley B SAC by location: Lake Zürich area B 5.00 - 13.99 5.00 - 13.99 5.00 - 13.99 243 112 131 Lausanne: SAC B Solothurn: SAC B 6.00 - 16.99 6.00 - 16.99 215 208 Lausanne: SAC B Lausanne: SAC: Total B SAC by sex F SAC by sex M 11.00 - 17.99 11.00 - 17.99 11.00 - 17.99 11.00 - 17.99 279 297 126 153 14.7 23.8 7.2 0.3 0.0 0.7 15.0 23.8 7.9 Solothurn canton: SAC B Solothurn canton: SAC: Total B 6.00 - 11.99 6.00 - 11.99 6.00 - 11.99 6.00 - 11.99 214 217 114 103 12.9 12.3 13.6 0.9 1.7 0.0 13.8 14.0 13.6 SAC by sex F SAC by sex M Notes Prevalence (%) <100 24.0 Median Mean SD Reference General Line 116.0 5175 * 1 141 249 5292 * 2 * 4 1206 3 5 6 7 8 9 10 11 12 31 39.5 43.9 35.2 38.4 40.6 55.3 2.5 9.0 45.1 56.6 115 138 109 118 117 110 2662 96 96 97 113 114 111 150 151 161 161 92 100 110 117 87 68 101 * 1208 * 5291 * 47 1207 * * 58 1212 * * © WHO Global Database on Iodine Deficiency 13 14 Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Iodine Deficiency The database on iodine deficiency includes data by country on goitre prevalence and/or urinary iodine concentration Last Updated: 2007-05-23 SWITZERLAND Urinary iodine (µg/L) Goitre prevalence (%) Level Date S 1988 Region and sample descriptor Sex Bern canton: SAC B Bern canton: SAC B SAC by sex F SAC by sex M Age (years) 7.00 - 16.99 7.00 - 16.99 7.00 - 16.99 7.00 - 16.99 Sample size 245 1107 581 526 Grade 1 Grade 2 Distribution (%) TGP <20 20-49 50-99 100-299 Notes Prevalence (%) >300 <100 Median Mean SD Reference General 1211 11.8 12.9 9.8 0.3 0.5 0.2 11.1 12.9 9.1 Line * * © WHO Global Database on Iodine Deficiency 15 NOTES SWITZERLAND Reference no 5175 General Notes: Sample comprised of SAC from Jona (sample part of a multiethnic study); goitre investigated by ultrasonography, values not included in the database. Line note 1 Mean age (SD): 9.6 (1.9) years, UI median range: 2-450 µg/L Reference no 5292 General Notes: Facility based study (schools for SAC and hospitals and private clinics for PW); PW in 2nd and 3rd trimester; three-stage cluster sampling with probability proportionate to size; same survey reported in reference No. 5442. Mean age: 9.9 years. Line note 2 Line note 3 Mean age: 29.1 years. UI <140 µg/L: 23.0% Reference no 1206 General Notes: Survey in 4 sites in canton Ticino and 2 sites in canton Bern; UI expressed in µg/g creatinine, values reported in the respective line notes. Line note 4 UI mean (SD): 101(17) µg/g Cr Line note 5 UI mean (SD): 95 (5) µg/g Cr Line note 6 UI mean (SD): 104 (22) µg/g Cr Line note 7 UI mean (SD): 92 (48) µg/g Cr Line note 8 UI mean (SD): 96 (32) µg/g Cr Line note 9 UI mean (SD): 79 (37) µg/g Cr Line note 10 UI mean (SD): 99 (53) µg/g Cr Line note 11 UI mean (SD): 130 (73) µg/g Cr Line note 12 UI mean (SD): 110 (152) µg/g Cr Reference no 2662 General Notes: Facility based study (schools for SAC, hospitals and private clinics for PW); PW mainly 2nd and 3rd trimester; three-stage probability proportionate to size cluster sampling; goitre investigated by ultrasonography, values not included in the database; additional information on disaggregated data provided by investigators; same survey reported in reference No. 5292. UI <50 µg/L: 8.5%. Mean age: 9.5 years. Line note 13 Line note 14 Mean age: 29.5 years. Reference no 1208 General Notes: Sample comprised SAC from the Engadine Valley and 4 sites in Lake Zürich area. Reference no 5291 General Notes: Sample comprised of SAC from 2 cities, Lausanne and Solothurn; 4 children excluded due to excess urinary iodine level (UI >500 µg/L); goitre investigated by ultrasonography, values not included in the database. Reference no 1207 General Notes: Sample comprised SAC from Lausanne, canton Vaud; goitre investigated by ultrasonography, values not included in the database. Reference no 1212 General Notes: Sample comprised SAC from the canton of Solothurn (municipalities included: Bellach, Biberist, Deitingen, Langendorf, Luterbach and Solothurn city). Reference no 1211 General Notes: Sample comprised SAC from the canton of Bern (6 previous known endemic areas included: Bern city, Konolfingen, Seftigen, Thun, Niedersimmental and Obersimmental); UI expressed in µg/g creatinine, values reported in the respective line notes. UI median: 141.8 µg/g Cr, UI mean (SD): 159.6 879.6) µg/g Cr Line note 15 © WHO Global Database on Iodine Deficiency REFERENCES SWITZERLAND Reference 1206 Solcà B, Jaeggi-Groisman SE, Saglini V, Gerber H. Iodine supply in different geographical areas of Switzerland: comparison between rural and urban populations in the Berne and the Ticino regions. European Journal of Clinical Nutrition, 1999, 53 :754-755. Reference 1207 Fleury Y, Van Melle G, Woringer V, Temler E, Gaillard RC, Portmann L. Apport iodé et prévalence du goitre chez le canton de Vaud [Iodine nutrition and prevalence of goiter in adolescents in the Canton of Vaud]. Schweizerische Medizinische Wochenschrift, 1999, 129 :1831-1838. Reference 1208 Zimmermann MB, Hess S, Zeder C, Hurrell RF. Urinary iodine concentrations in Swiss schoolchildren from the Zurich area and the Engadine valley. Wochenschrift, 1998, 128 :770-774. Reference 1211 Supersaxo Z, Selz B, Hasler P, Wespi HJ, Abelin T, Bürgi H. Ist die Kochsalzjodierung noch nötig? Neuere Unterschungen über die Jodversorgung in der Schweiz [Is iodination of cooking salt still necessary: current studies on iodine supply in Switzerland]. Schweizerische Medizinische Wochenschrift, 1991, 121 :317-323. Reference 1212 Hoang Truong T, Gerber H, Haenel AF, Bürgi H. Jodversorgung in verschiedenen Lebensphasen und sonographische Schilddrüsenvolumina bei Schulkindern in einer Gegend der Schweiz [Iodine supply at various periods in life and ultrasonographic thyroid volume in school children in a region of Switzerland]. Schweizerische Medizinische Wochenschrift, 1997, 127 :715-721. Reference 2662 Hess SY, Zimmermann MB, Torresani T, Burgi H, Hurrell RF. Monitoring the adequacy of salt iodization in Switzerland: a national study of school children and pregnant women. European Journal of Clinical Nutrition, 2001, 55 :162-166. Reference 5175 Zimmermann MB, Ito Y, Hess SY, Fujieda K, Molinari L. High thyroid volume in children with excess dietary iodine intakes. Reference 5291 Bürgi H, Portmann L, Podoba J, Vertongen F, Srbecky M. Thyroid volumes and urinary iodine in Swiss school children, 17 years after improved prophylaxis of iodine deficiency. European Journal of Endocrinology, 1999, 140 :104-106. Reference 5292 Zimmermann MB, Aeberli I, Torresani T, Burgi H. Increasing the iodine concentration in the Swiss iodized salt program markedly improved iodine status in pregnant women and children: a 5-y prospective national study. American Journal of Clinical Nutrition, 2005, 82 :388-392. Schweizerische Medizinische American Journal of Clinical Nutrition, 2005, 81 :840-844. © WHO Global Database on Iodine Deficiency ADDITIONAL REFERENCES SWITZERLAND Reference 381 Bürgi H, Supersaxo Z, Dürig P. Status of iodine nutrition in Switzerland. In: Delange F et al., eds. Iodine deficiency in Europe. A continuing concern. New York, Plenum Press, 1993 :367-371. Reference 541 Bürgi H, Supersaxo Z, Selz B. Iodine deficiency diseases in Switzerland one hundred years after Theodor Kocher's survey: a historical review with some new goitre prevalence data. Acta Endocrinologica, 1990, 123 :577-590. Reference 546 Bürgi H, Rutishauser R. Iodization of salt and its surveillance. In: Dunn JT et al., eds. Towards the eradication of endemic goiter, cretinism, and iodine deficiency. Washington, DC, Pan American Health Organization, 1986 :155-165. Reference 1205 Bürgi H, Kohler M, Morselli B. Thyrotoxicosis incidence in Switzerland and benefit of improved iodine supply. Reference 1210 Lüthy J. The development of a nutrition policy in Switzerland. Reference 1213 Als C, Lüscher D, Gerber H, Brander L, Lauber K, Rösler H. Warum besteht erneut und noch immer Jodmangel in der Region Bern? [Why is iodine deficiency once again present in the Berne region?]. Schweizerische Medizinische Wochenschrift, 1997, 127 :18-22. Reference 1214 Bürgi H. Kropfprophylaxe mit jodiertem Kochsalz in der Schweiz: eine kurze Bilanz [Goiter prevention with iodized table salt in Switzerland: a brief review]. Schweizerische Rundschau für Medizin Praxis/Revue Suisse de Médecine Praxis, 1986, 75 :125-127. Reference 1311 Baltisberger BL, Minder CE, Burgi H. Decrease of incidence of toxic nodular goitre in a region of Switzerland after full correction of mild iodine deficiency. Journal of Endocrinology, 1995, 132 :546-549. Reference 3397 Bürgi H. Jodversorgung der Schweizerischen Bevölkerung. In: Keller U et al, eds. Vierter Schweizerischer Ernährungsbericht, Quatrième Rapport sur la Nutrition en Suisse. Bern, Bundesambt für Gesundheit, 1998 64-73. Reference 4733 Als C, Haldimann M, Minder C, Gerber H. Pilot study of urinary iodine concentration and of biochemical thyroid parameters before and after cautious public health intervention on salt iodide content: the Swiss longitudinal 1996-2000 iodine study. European Journal of Clinical Nutrition, 2004, 58 :1201-1210. Reference 5295 Als C, Haldimann M, Burgi E, Donati F, Gerber H, Zimmerli B. Swiss pilot study of individual seasonal fluctuations of urinary iodine concentration over two years: is agedependency linked to the major source of dietary iodine?. European Journal of Clinical Nutrition, 2003. 57 :636-646. Reference 5398 Brander L, Als C, Buess H, Haldimann F, Harder M, Hanggi W, Herrmann U, Lauber K, Niederer U, Zurcher T, Burgi U, Gerber H. Urinary iodine concentration during pregnancy in an area of unstable dietary iodine intake in Switzerland. Journal of Endocrinological Investigation, 2003, 26 :389-396. Reference 5442 Zimmermann MB. Versorgung von Jod und Fluorid bei Kindern und schwangeren Frauen. In: Eichholzer M et al,. Fünfter Schweizerischer Ernährungsbericht [Cinquième rapport sur la nutrition en suisse] 2005. Bern, BAG OFSP UFSP SFOPH, 2005 Lancet, 1998, 352 :1034. Nutrition Reviews, 1997, 55 :S29-S31. 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